流行性腮腺炎160例临床分析

Clinical analysis of 160 mumps cases

目的探讨流行性腮腺炎的临床特征及各种并发症转归。方法选择160例流行性腮腺炎患者，收集患者流行病学资料及一般情况、临床症状、化验检查等资料，分析临床特征及疾病转归。结果160例流行性腮腺炎患者中，男122例（76．3％），女48例（30．0％）；发病年龄1～40岁，1—12岁105例（65．6％），13～40岁55例（34．4％）。合并脑膜脑炎等并发症（包括多重并发）患者106例（66．3％），住院平均天数6．8d。160例流行性腮腺炎患均有发热及一侧或双侧腮腺肿大．部分患者同时伴有头痛、腹痛、恶心、呕吐、腹泻、便秘等症状。3．流行性腮腺炎患者在3～7d可出现各种并发症．其中脑炎、胰腺炎、睾丸炎、心肌炎最常见。结论流行性腮腺炎在儿童及青少年中常见，早期易与其他多种疾病混淆。应提高对本病的认知，减少误诊率。

Objective To investigate the epidemiology, clinical features and complications of mumps. Methods One hundred and sixty mumps patients were included in this study, and their epidemiological information, clinical fea tures, lab results and prognosis were collected and analyzed. Results Of the 160 mumps patients, 122（76.3%） were male, and 48（30.0%） were female. One hundred and five cases were under 12 years old （65.6%, 6.5 years old in average）, and 55 （34.4%） were between 13 and 40 years old, with an average of 21.6. Complications, such as encephalitis, pancreatitis, or chitis and myocarditis, were seen in 106 cases （66.3%）, which were usually seen in 3-7 days after onset of symptoms. The average number of in-hospital day was 6.8. All patients had fever and one or both side parotid gland enlargement. Other accompanied symptoms included headache, abdominal pain, nausea, vomiting, diarrhea, constipation, and etc. Conclusions Mumps is commonly seen in children and youngsters, and easy to get confused with other illness.